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Washington, DC rates for HCPCS J9313

Injection Moxetumomab Pasudotox-Tdfk 0.01 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.51 / $22.51 / $22.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $22.51 / $22.51
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.39 / $23.39 / $23.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.51 / $22.51 / $22.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.51 / $22.51 / $25.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.51 / $23.83 / $47.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $24.57 / $26.04